Table Of Contents

Peripheral Artery Disease (PAD)

Watch ▶Peripheral artery disease: Pathology review

Watch ▶Peripheral arterial disease and ulcers: Clinical sciences

General

Risk Factors

Localization of arterial occlusion in PAD

Localization of arterial occlusion in PAD

Clinical Features

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Dry gangrene in peripheral arterial disease

Dry gangrene in peripheral arterial disease

Diagnosis

ABI

ABI

Management

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Patients with PAD and intermittent claudication have an estimated 20% 5-year risk of non-fatal MI and stoke and a 15-30% risk of death due to cardiovascular causes.

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<aside> 💡 Only ASA, Statins and smoking cessation decrease mortality.

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Mimics of Arterial Occlusion

This is just to keep them in mind, they will be disscussed in thier respective chapters

Disorder Patient Characteristic Features
Deep vein thrombosis 💠 > 60 years old
💠 History of immobilization, obesity, hereditary thrombophilia or malignancy 💠 Swelling
💠 Warmth
💠 Erythema
💠 Progressive tenderness
Spinal stenosis 💠 Middle-aged to older patients 💠 Neurogenic claudication
💠 Accompanied by weakness or numbness
💠 Bilateral or unilateral leg and back pain
💠 Improved with lumbar flexion
Diabetic neuropathy 💠 Middle-aged to older patients
💠 High BMI 💠 Progressive symmetrical loss of or abnormal sensation in the distal lower extremities (glove and stocking sensation)
💠 Normal ABI
💠 Neuropathic diabetic foot: warm, dry skin, palpable foot pulses